Pectoral Nerve Block II for Cardiac Implantable Electronic Devices

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Annals of Noninvasive Electrocardiology Pub Date : 2024-08-15 DOI:10.1111/anec.70005

Shehzad Zafar, Rubaiqa Khan, Muhammad Ali Akbar, Rabia Zameer, Jahanzeb Malik, Waheed Akhtar, Amin Mehmoodi, Muhammad Awais

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Abstract

Aim

This study aimed to assess the feasibility and effectiveness of the pectoral nerves (PECS) II block in facilitating cardiac implantable electronic device (CIED) insertion in a sample of 120 patients, with a focus on the percentage of cases completed without additional intraoperative local anesthesia.

Methods

PECS II blocks were performed on the left side using ultrasound guidance in all 120 patients. Feasibility was assessed by the proportion of cases completed without the need for extra intraoperative local anesthetic. Secondary outcomes included the amount of additional local anesthetic used, intraoperative opioid requirements, postoperative pain scores, time to first postoperative analgesia, analgesic consumption, patient satisfaction, and block-related complications.

Results

Of the 120 patients, 78 (65%) required additional intraoperative local anesthetic, with a median volume of 8.2 mL (range 3–13 mL). Fifteen patients (12.5%) needed intraoperative opioid supplementation. Nine patients (7.5%) required postoperative tramadol for pain relief. In total, 98 patients (81.7%) reported high satisfaction levels with the procedure.

Conclusions

The PECS II block, when combined with supplementary local anesthetic, provided effective postoperative analgesia for at least 24 h in 120 patients undergoing CIED insertion. While it did not completely replace surgical anesthesia in most cases, the PECS II block significantly contributed to a smoother intraoperative experience for patients.

Abstract Image

查看原文本刊更多论文

用于心脏植入式电子设备的胸神经阻滞 II。

目的：本研究旨在评估胸神经（PECS）II阻滞在120例患者中促进心脏植入式电子装置（CIED）植入的可行性和有效性，重点关注无需额外术中局部麻醉即可完成的病例百分比：方法：所有 120 例患者均在超声引导下进行了左侧 PECS II 阻滞。方法：在超声引导下对所有 120 名患者的左侧进行了 PECS II 阻滞，根据无需术中追加局麻药的病例比例来评估可行性。次要结果包括额外局麻药用量、术中阿片类药物需求量、术后疼痛评分、首次术后镇痛时间、镇痛药消耗量、患者满意度和阻滞相关并发症：在 120 例患者中，78 例（65%）需要额外的术中局部麻醉剂，中位用量为 8.2 毫升（范围为 3-13 毫升）。15名患者（12.5%）需要术中补充阿片类药物。9名患者（7.5%）需要术后使用曲马多止痛。共有98名患者（81.7%）对手术表示高度满意：PECS II阻滞与辅助局麻药相结合，为120名接受CIED置入术的患者提供了至少24小时的有效术后镇痛。虽然在大多数情况下，PECS II阻滞并不能完全取代手术麻醉，但它极大地改善了患者的术中体验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Noninvasive Electrocardiology 医学-心血管系统

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The ANNALS OF NONINVASIVE ELECTROCARDIOLOGY (A.N.E) is an online only journal that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. ANE is the first journal in an evolving subspecialty that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. The publication includes topics related to 12-lead, exercise and high-resolution electrocardiography, arrhythmias, ischemia, repolarization phenomena, heart rate variability, circadian rhythms, bioengineering technology, signal-averaged ECGs, T-wave alternans and automatic external defibrillation. ANE publishes peer-reviewed articles of interest to clinicians and researchers in the field of noninvasive electrocardiology. Original research, clinical studies, state-of-the-art reviews, case reports, technical notes, and letters to the editors will be published to meet future demands in this field.